ISBN-10: 0865692343

ISBN-13: 9780865692343

Edition: 2nd 1993 (Reprint)

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Description:

Medical visits are often less effective and satisfying than they would be if doctors and patients better understood the communication processes conducive to the attainment of mutual goals. The verbal and nonverbal exchanges that take place between doctor and patient affect both participants and can result in a range of positive or negative psychological reactions--including comfort, alarm, irritation, or resolve. "Talk" is broadly interpreted and is shown, on the basis of extensive research evidence, to have far-reaching impact. Roter and Hall set out specific, scientifically established principles and recommendations for improving doctor-patient relationships. They describe the process of communication, analyze the social and psychological factors that color doctor-patient exchanges, and detail changes that will benefit both parties. In recognizing the critical importance of the social process to sound medical care, the authors offer needed encouragement and principles of action to doctors and patients alike.

DEBRA L. ROTER holds a dual appointment as Professor of Health Policy and Management at the Johns Hopkins University Bloomberg School of Public Health, and at the Johns Hopkins Schools of Medicine and Nursing.

Preface

The Significance of Talk Models of the Doctor-Patient Relationship

The Influence of Patient Characteristics on Communication between the Doctor and the Patient

The Influence of Physician Characteristics on Communication between the Doctor and the Patient

What Usually Happens in Medical Visits Patterns of Talk in the Medical Visit Giving and Withholding Information

The Special Case of Informative Talk in the Medical Visit Prospects for Improved Talk Talk and the Quality of Care Consequences of Talk

The Relationship of Talk to Patient Outcomes Improving Talk through Interventions

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